With the help of sufficient support at the disposal of the patients, it is possible to significantly improve the compliance during the period of "fdp" after surgery. In order to get a safe and painless "fdp" in bed, an ergonomic body positioning is necessary (Schaefer 2012). By practicing the "fdp" until the gas bubble is completely resorbed, the risk of developing a postoperative cataract can be reduced significantly. Provided there is a good compliance to "fdp", the gas bubble can cause the desired tamponade effect even when using shorter acting gases. By performing a consistent "fdp" it is possible to accelerate the healing process and avoid reoperations. Hereby it should even be possible to use an SF6-air mix or optionally simply air as tamponade.
Fifty patients with senile cataract were treated consecutively by phacoemulsification in the posterior chamber or pupillary plane using a bimanual technique followed by implantation of a Kratz posterior chamber lens. Central endothelial cell density was determined both before and after surgery. The average central endothelial cell loss was 4.1 +/- 3.02%. Follow-up examinations of a small number of patients 27 months after phacoemulsification and posterior chamber lens implantation showed no additional lens-induced endothelial cell loss.
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